This study examines 10-year weight change in veterans who underwent Roux-en-Y gastric bypass compared with nonsurgical matches and the 4-year weight change in veterans who underwent Roux-en-Y gastric bypass, adjustable gastric banding, or sleeve gastrectomy.
This cohort study investigates whether a program that focuses on 8 major guideline-recommended risk-management therapies reduces cardiovascular and limb events in patients with peripheral arterial disease.
This nationwide retrospective cohort study describes patterns of episodes of diverticulitis before surgery and factors associated with earlier interventions using inpatient, outpatient, and antibiotic prescription claims.
This cohort study uses Veterans Health Administration data to compare postoperative mortality at 30, 90, and 180 days and at 1 year to determine if 30-day mortality is a valid quality metric.
This cohort study examines the effectiveness of patient choice in nonoperative vs surgical management of uncomplicated acute appendicitis in children.
This article discusses the design and rationale for the Flexibility in Duty Hour Requirements for Surgical Trainees (FIRST) randomized trial, which will evaluate whether changing surgical resident duty hour policies to permit greater flexibility in work hours will affect patient postoperative outcomes, resident education, and resident well-being.
This study finds that patients operated on by surgeons trained in residency programs that were ranked in the top tertile were significantly less likely to experience adverse events than were those operated on by surgeons trained in programs that were in the bottom tertile.
This data analysis of US military casualties in Afghanistan reports that a 2009 mandate from the Secretary of Defense resulted in 75.2% of missions achieving transport from combat injury to treatment facility in 60 minutes or less.
This population-based study compares the complications and length of stay for total hip and total knee arthroplasty between the United States and Canada.
This study examines whether hospital-level compliance with Brain Trauma Foundation guidelines for intracranial pressure monitoring and craniotomy is associated with risk-adjusted mortality rates in patients with severe traumatic brain injury.
This cohort analysis compares the outcomes in patients with traumatic brain injury before and after implementation of the Brain Injury Guidelines protocol.
This cohort study observes similar morbidity and mortality rates in pregnant and nonpregnant women undergoing general surgical operations.
This retrospective cohort study shows that health care reform in Massachusetts did not affect insurance coverage for trauma patients but was associated with a transient increase in adjusted mortality rates. See also the Invited Commentary by Lee.
This retrospective study reports that postdischarge venous thromboembolism (VTE) rates in the 30 days after surgery are not decreased by higher inpatient surveillance rates but are associated with higher inpatient VTE rates. Thus, patient risk factors and case mix likely contribute to hospital VTE rates, and surveillance bias may reflect the underlying at-risk population.
This nationwide cohort study defines stage-specific treatments and prognosis of colon cancer diagnosed in young adults (ages 18-49 years) vs older adults (ages 65-75 years).
This retrospective cohort study finds a significantly increased risk for anastomotic complications after colorectal resection when postoperative nonsteroidal anti-inflammatory drugs (NSAIDs) are prescribed.